Maryland DDA Nursing & Delegation Services

Provided by Pearldahlia, LLC
A nurse-led parent company of Compassionate Caregiving At Your Door

Pearldahlia, LLC provides professional Developmental Disabilities Administration (DDA) nursing delegation and case management services throughout Maryland.

Led by an experienced Nurse Practitioner and Registered Nurse, we support individuals with intellectual and developmental disabilities, residential providers, and families by delivering safe, compliant, and compassionate nursing oversight in accordance with Maryland COMAR regulations .

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Who We Serve

  • DDA Residential Providers

  • Assisted Living and Group Homes

  • Supported Living Programs

  • Individuals with Intellectual and Developmental Disabilities

  • Families and Caregivers

  • Community-Based Providers

Core DDA Nursing Services

  1. Initial and ongoing nursing assessments

  2. COMAR-compliant nursing care plans

  3. Medication review and management

  4. Nurse delegation to CMTs

  5. Staff training and competency sign-offs

  6. 45-day nursing reviews

  7. Change-of-condition assessments

  8. On-call nursing support

  9. Coordination with physicians and specialists

  10. HRST / Fatal Five education and monitoring

  11. Documentation audits and compliance support

Service Areas

A pink and gold lotus flower design with a stethoscope intertwined, featuring a large pearl in the center.

We serve DDA providers throughout Maryland, including:

  • Baltimore County

  • Baltimore City

  • Harford County

  • Howard County

  • Anne Arundel County

  • Prince George’s County

  • Surrounding areas

Compliance & Regulatory Oversight

All services are delivered in full compliance with Maryland COMAR regulations, DDA guidelines, the Maryland Nurse Practice Act, and HIPAA requirements. Our nursing processes are designed to support safety, accountability, and regulatory readiness across all care settings .

  • COMAR-compliant care plans

  • DDA-required documentation

  • Nurse delegation per Maryland law

  • HIPAA-compliant processes

  • “Pearldahlia LLC has been an incredible partner for our residential programs. Their nursing oversight is thorough, responsive, and always COMAR-compliant. Having a delegating nurse we can truly rely on has made a significant difference in how confidently we operate.”

    — Danielle R.

  • “Working with Pearldahlia LLC has brought consistency and clarity to our medication administration and staff training. Their knowledge of DDA regulations and delegation requirements is unmatched, and their communication with our team is always timely and professional.”

    Marcus L.

  • “Pearldahlia LLC provides the kind of nursing support every DDA provider needs. From assessments and care plans to delegation and ongoing monitoring, everything is handled with professionalism and compassion. They help us stay compliant while keeping the focus on the individuals we serve.”

    — Sharon T.

Our Process

Initial consultation

Comprehensive nursing assessment

Creation of COMAR-compliant care plan

Staff training and nurse delegation

Ongoing monitoring and support

Frequently Asked Questions

  • A DDA delegating nurse is a licensed nurse authorized under Maryland law to delegate certain nursing tasks, such as medication administration, to trained, unlicensed staff in DDA-funded programs.

    Pearldahlia, LLC provides delegation in accordance with COMAR regulations and the Maryland Nurse Practice Act, ensuring safety, accountability, and compliance.

  • Our nursing oversight and documentation practices are designed to support audit readiness at all times.

    We maintain clear, organized, and COMAR-aligned records that help programs demonstrate compliance during DDA reviews, licensing visits, and quality assurance checks.

  • Yes!

    We frequently partner with programs that have partial nursing coverage, need temporary support, or require additional delegation or compliance oversight.

    Services can be structured to complement existing systems rather than replace them.

  • When a change in condition is identified, we assess the situation promptly and determine appropriate next steps, which may include updated care planning, provider coordination, staff guidance, or escalation when clinically indicated.

    Our goal is to support safety while maintaining compliance.

  • Yes!

    Services are tailored to the specific needs, size, and structure of each program.

    Whether supporting a single residence or multiple sites, we adjust nursing oversight and delegation to fit operational realities while maintaining regulatory standards.

  • We prioritize clear, consistent communication with program leadership and direct care staff.

    This includes timely follow-up, availability for clinical questions, and clear guidance related to delegation, medication changes, and care plan updates.

Need reliable DDA nursing services in Maryland?

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About Our Companies
Pearldahlia, LLC is the parent company of Compassionate Caregiving At Your Door (CCAYD). While CCAYD provides direct patient care services, Pearldahlia, LLC specializes in professional DDA nursing delegation and compliance services for providers and agencies.